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General NPI Number Information
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NPI Number | 1992620231
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Entity Type | Organization
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Legal Business Name | NEVAEH MOBILE MEDICAL PROVIDERS
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 9151 HIGH ASSETS WAY NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-5802
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Country | US
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Telephone | 505-944-5372
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Fax |
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Provider Business Mailing Address
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Address Line | 9151 HIGH ASSETS WAY NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-5802
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Country | US
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Telephone | 505-944-5372
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. BRYAN WOOD
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Credential | MD
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Telephone | 505-944-5372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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